Provider Demographics
NPI:1487046231
Name:ADVOCARE HOSPICE,INC
Entity Type:Organization
Organization Name:ADVOCARE HOSPICE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-438-8211
Mailing Address - Street 1:900 N BROADWAY STE 410
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-3466
Mailing Address - Country:US
Mailing Address - Phone:818-438-8211
Mailing Address - Fax:818-241-4322
Practice Address - Street 1:900 N BROADWAY STE 410
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-3466
Practice Address - Country:US
Practice Address - Phone:818-438-8211
Practice Address - Fax:818-241-4322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based